Pediatric Dentistry


Infant Oral Health

The first dental appointment is recommended around the first birthday for all children. The appointment consists of an examination, prevention and counseling. If your child needs treatment, appropriate follow up appointments are recommended and will be scheduled.


A dental examination includes the evaluation of your child's face, jaws, teeth, gums and/or tongue. There are various types of examinations depending on the circumstances of the appointment.

Professional Tooth-Cleaning Procedures

Most children receive professional tooth polishing every six months. If tartar is present, scaling is performed. At each appointment, our clinical staff works with your child on tooth brushing techniques. If necessary Oral Hygiene adjuncts are recommended.


Radiographs are prescribed when necessary with the goal of comprehensive diagnosis, while minimizing radiation exposure. Factors affecting the frequency of dental radiographs for children include age, compliance, presence of cavities, oral hygiene, fluoride exposures, crowding and unfavorable growth and development.

Fluoride Treatment

In closely monitored amounts, fluoride contributes to healthy teeth and bones. The most effective delivery for fluoride is water with a concentration of 0.7 - 1.0 parts per million (ppm). Since younger children tend to swallow toothpaste, it is important to monitor their fluoride intake, including those in the dental office. Recommendations for fluoride are determined by the child's previous fluoride exposures, the relative risk for cavities and behavior.


Sealants can be effective in preventing cavities in the grooves and pits of both primary and permanent teeth, and are predominantly recommended for teeth in the back of the mouth. Sealants can wear over time and should be monitored and maintained to be of maximum benefit. This is done at the six monthly preventive visits.

At Dr. Angela Wandera & Associates, we use BPA-free sealants material.


If cavities are present in your child's mouth, the recommended treatment is to fill the teeth with cavities. White tooth colored fillings, stainless steel crowns and white crowns are available options. Not all fillings require local anesthesia. If local anesthesia is required, Dr. Wandera utilizes special techniques to minimize discomfort. Based on available research on children, these techniques are as effective as computerized local anesthetic injections.


At each six month visit, Dr. Wandera evaluates the growth and development of your child. The majority of children requiring orthodontics will need a single phase in adolescence. Some children will benefit form an early phase of orthodontics, the goals of which are to modify growth, to prevent unfavorable growth due to harmful habits, to prevent traumatic injuries where teeth "Stick out", to avert psycho-social problems and to gain compliance. Some children needing an early phase may not need a second phase as teens.


Prevention of traumatic tooth, mouth and facial injuries requires mouth-guards and helmets. Most mouth-guards can be purchased at very reasonable prices from stores or online vendors. Our staff is happy to provide guidance and advice on the most appropriate mouth-guard for your child.

Nitrous-Oxide (Laughing Gas)

For the fearful patient and for mild pain control, nitrous-oxide may be recommended for your child's treatment. Nitrous-oxide will not make your child sleep. It will calm and relax you child for safe delivery of dental care.


Under special circumstances, mild sedation may be used to help a child accept dental care. Sedation appointments require specific preparation and involve prescription of sedative medications. If this type of treatment is recommended for your child, Dr. Wandera and our staff will review all aspects of care under sedation.

Hospital Dentistry

Patients who cannot receive dental care in the office due to age, poor tolerance for in-office care, special needs or medical conditions may be treated in a hospital setting. Please review this link for more information. In our unwavering commitment to children and their health, we look forward to working with you to create a positive dental experience for your child, and excellent oral health thereafter. If you have any concerns or questions about your child's appointment, please do not hesitate to contact our office.